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MR. JAMES A. CLOY M.D.
NPI 1205937570
Family Medicine in Jackson, MS

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
69.83/100
CMS Quality Rating
878 LAKELAND DR, JACKSON, MS 39216(601) 984-6800(601) 984-6812 Get Directions Write a Review

NPPES record last updated: February 13, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. James A. Cloy M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAMES A. CLOY M.D. (NPI 1205937570) is an individual family medicine provider in Jackson, Mississippi, licensed in Mississippi (13164) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1205937570
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. JAMES A. CLOYCredential: M.D.
Location Address878 LAKELAND DRJackson, MS 39216-4644
Mailing AddressPo Box 4999Jackson, MS 39296-4999 · (601) 984-5410 · Fax (601) 815-3771
Phone(601) 984-6800
Fax(601) 984-6812
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 26, 2006
Last NPPES UpdateFebruary 13, 2014
✔ NPI 1205937570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 13164
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

878 LAKELAND DR, Jackson, MS 39216
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Other Identifiers 8

Medicare UPINE94244MS
Medicare ID-Type Unspecified080003404MS
OtherP00462173MS · Railroad Medicare
Medicare ID-Type Unspecified080170959MS · Railroad Medicare
Medicaid1350788LA
Medicare PIN302I088824MS
Medicare PIN512I080008MS
Medicaid0122354MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. James A. Cloy M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547208258
PECOS Enrollment IDI20050422000567
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Mississippi Med Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number250001
Location2500 N State StJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Merit Health Madison

Acute Care Hospitals · Canton, MS
OwnershipProprietary
CMS Certification Number250038
Location161 River Oaks DriveCanton, MS 39046 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.08
Promoting Interoperability83
Improvement Activities40
Cost48.31

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers16 claims58 services$4.12 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims22 services$0.72 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.33 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers28 claims28 services$55.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLLY PEEPLES M.D.
Family Medicine
878 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 984-6800
SUDHEER TANGELLA MD
Family Medicine
878 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 984-6800
RICHARD D DESHAZO MD
Internal Medicine (Allergy & Immunology)
878 LAKELAND DR, LB-BUILDING
JACKSON, MS 39216
Hinds County (601) 815-1078
MR. PATRICK O SMITH P.H.D.
Psychologist (Clinical)
878 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 984-6800
PATRICK DALE WHIPPLE M.D.
Family Medicine
878 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 984-6800
DR. STEPHEN F KEMP MD
Allergy & Immunology
878 LAKELAND DR, LB-BUILDING
JACKSON, MS 39216
Hinds County (601) 815-1078
DR. GAILEN DAUGHERTY MARSHALL MD
Internal Medicine (Allergy & Immunology)
878 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 815-1078
MR. ROBERT FORBES M.D.
Family Medicine
878 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 984-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Cloy's NPI number?

The NPI number for James Cloy is 1205937570. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is James Cloy located?

James Cloy practices at 878 Lakeland Dr, Jackson, MS 39216. The listed phone number is (601) 984-6800.

What is James Cloy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Cloy enrolled in Medicare?

Yes. James Cloy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Cloy accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list James Cloy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Cloy affiliated with any hospitals?

According to CMS data, James Cloy is affiliated with University Of Mississippi Med Center and Merit Health Madison.

When was this NPI record last updated?

The NPPES record for James Cloy was last updated on February 13, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.